IndividualActive
Changeun Song, DDS
NPI 1215183371 · Dentist · Apo
Changeun Song, DDS is a Dentist provider in Apo (NPI 1215183371).
Provider details
- NPI number
- 1215183371
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 24262 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
51st Medical Group
Unit 2060
Apo, 96278-2060
Phone: (315) 784-2108
Approximate (ZIP-level) locationGet directions
Mailing address
Psc 3 Box 958
Apo, AP 96266
Registry dates
- Enumerated
- 2008-08-08
- Last updated
- 2023-11-07
- Certified
- 2023-11-06
Frequently asked questions
- What is Changeun Song's NPI number?
- Changeun Song's National Provider Identifier (NPI) is 1215183371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Changeun Song's specialty?
- Changeun Song is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Changeun Song located?
- Changeun Song's practice location on file with NPPES is 51st Medical Group, Apo, 96278-2060.
- What is Changeun Song's phone number?
- The practice phone number listed in the NPPES registry for Changeun Song is (315) 784-2108.
- Is Changeun Song's NPI active?
- Yes — Changeun Song's NPI (1215183371) is active in the NPPES registry as of the last update on 2023-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.